Washington Administrative Code
Title 182 - Health Care Authority
WASHINGTON APPLE HEALTH
Chapter 182-543 - Medical equipment, supplies, and appliances
Section 182-543-2250 - Rental or purchase

(1) The medicaid agency bases its decision to rent or purchase medical equipment on the length of time the client needs the equipment.

(2) A provider must not bill the agency for the rental or purchase of equipment supplied to the provider at no cost by suppliers/manufacturers.

(3) The agency purchases new medical equipment only.

(4) The agency requires a dispensing provider to ensure the medical equipment rented to a client is:

(5) The agency's minimum rental period for covered medical equipment is one day.

(6) The agency authorizes rental equipment for a specific period of time. The provider must request authorization from the agency for any extension of the rental period.

(7) The agency's reimbursement amount for rented medical equipment includes all of the following:

(8) The agency considers rented equipment to be purchased after twelve months' rental unless the equipment is restricted as rental only.

(9) Medical equipment purchased by the agency for a client is the client's property.

(10) The agency rents, but does not purchase, certain medical equipment for clients. This includes, but is not limited to, the following:

(11) The agency stops paying for any rented medical equipment effective the date of a client's death. The agency prorates monthly rentals as appropriate.

(12) For a client who is eligible for both medicare and medicaid, the agency only pays the client's coinsurance and deductibles when the medical equipment is covered by medicare. The agency discontinues paying client's coinsurance and deductibles for rental medical equipment covered by medicare when either of the following applies:

(13) The agency does not obtain or pay for insurance coverage against liability, loss and/or damage to rental equipment that a provider supplies to a client.